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Suggest Treatment For Tinnitus, Sinus Problem And Dizziness
Question: I have tinnitus in both ears, sinus problems and stuffiness feeling right along side of my face outside of my ears. I have 2 decaying back teeth that is on both sides of my face that aches and some dizziness. alos with the tinnitus I have some brief moments when my ear feels completely full and I get an extra louder ring for about 5-1 secs then it goes away
Brief Answer:
As below:
Detailed Answer:
Hi,
Thank you for your query.
1. Get a plain CT PNS (Para Nasal Sinuses) Scan done. This will help diagnose whether there is any sinusitis and if it is due to the dental problems. Usually, the mid upper teeth are closely related with the floor of the maxillary sinuses.
2. Chronic sinusitis may be the cause for the sinus problems which would cause the stuffiness in the face and also tinnitus due to Eustachian Tube Dysfunction (ETD). This tube connects and ventilates the middle ear and the nose.
3. Get an Impedance Audiogram to check for ETD. A hearing test (PTA-Pure Tone Audiogram) is also important, since you have ear fullness, dizziness and tinntus that increases at times. Early Meniere's Disease must be ruled out.
4. Meniere's disease is diagnosed on the following criteria:
a. Vertigo
b. Fluctuating hearing loss
c. Tinnitus
d. Fullness in the ear
There is usually nausea and vomiting, the hearing usually worsens during an attack and the tinnitus also Increases. Earache is not a usual symptom.
5. Dental caries (decay, local infection) may also cause TMJ (TemporoMandibular Joint) spasm. Check if your tinnitus increases when you clench your teeth. You should get your dental treatment done as soon as possible.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
As below:
Detailed Answer:
Hi,
Thank you for your query.
1. Get a plain CT PNS (Para Nasal Sinuses) Scan done. This will help diagnose whether there is any sinusitis and if it is due to the dental problems. Usually, the mid upper teeth are closely related with the floor of the maxillary sinuses.
2. Chronic sinusitis may be the cause for the sinus problems which would cause the stuffiness in the face and also tinnitus due to Eustachian Tube Dysfunction (ETD). This tube connects and ventilates the middle ear and the nose.
3. Get an Impedance Audiogram to check for ETD. A hearing test (PTA-Pure Tone Audiogram) is also important, since you have ear fullness, dizziness and tinntus that increases at times. Early Meniere's Disease must be ruled out.
4. Meniere's disease is diagnosed on the following criteria:
a. Vertigo
b. Fluctuating hearing loss
c. Tinnitus
d. Fullness in the ear
There is usually nausea and vomiting, the hearing usually worsens during an attack and the tinnitus also Increases. Earache is not a usual symptom.
5. Dental caries (decay, local infection) may also cause TMJ (TemporoMandibular Joint) spasm. Check if your tinnitus increases when you clench your teeth. You should get your dental treatment done as soon as possible.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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